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1114331543
REBECCA THERESA CLARK
LAKE CHARLES, LA
NPI
1114331543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN088489)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
Mrs. REBECCA THERESA CLARK RN
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-478-6020
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Mailing Address
Mrs. REBECCA THERESA CLARK RN
1120 LASALETTE AVE
SULPHUR, LA 70663-5124
Phone number: 337-304-7985
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